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General NPI Number Information
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NPI Number | 1790699569
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Entity Type | Individual
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Provider Name | MICHAEL SCHADONE NRP, CPTC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 60 1ST AVE
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City | WALTHAM
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State | MA
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Zip | 02451-1106
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Country | US
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Telephone | 800-446-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 853 PUDDING HILL RD
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City | HAMPTON
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State | CT
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Zip | 06247-1517
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Country | US
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Telephone | 401-569-4999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P0901590
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License Number State | MA
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